Organization
BANSI PHARMACY INC
Active
Other names
ANDEE PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAILAJA NALAM PHARM.D (PRESIDENT)
(908) 917-8310
Entity
Organization
Contact information
Practice address
130 HIGHWAY 33, MANALAPAN, NJ 07726-8361
(732) 431-9400
(732) 431-9405
Mailing address
130 HIGHWAY 33, MANALAPAN, NJ 07726-8361
(732) 431-9400
(732) 431-9405
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00731600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441848
—
NJ
Enumeration date
03/01/2014
Last updated
01/13/2015
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